Doctor of Clinical Psychology (D Clin Psy) – North Trent/University of Sheffield PLACEMENT MEETINGS AND REPORTS* INITIAL PLACEMENT VISIT Purposes: i) To discuss Placement Aims and Activities and to produce an Aims and Activities plan (see below). ii) To facilitate theory-practice links. iii) To discuss general expectations regarding supervision and the placement. iv) To facilitate negotiation of a good working relationship between the supervisor and trainee. v) To ensure that relevant information has been transmitted to the supervisor and trainee (e.g. time for visits to mentors). When: Within the first three weeks of placement (Wednesday/Thursday/Friday) or during the placement observation day. Attended by: Supervisor, Trainee and Clinical Tutor. Documentation: A Placement Aims and Activities Plan (see Section 7.2) is completed following this meeting. For Placement 1, the plan will usually be produced by the clinical tutor. For subsequent placements, the trainee completes a draft Aims and Activities Plan and sends this to the clinical secretary by e-mail or on a floppy disk prior checking by the clinical tutor and a final copy being produced. The clinical secretary will then distribute this to the trainee, supervisor, clinical tutor and personal tutor. The headings within the Aims and Activities Plan may be used to structure the initial meeting. Placements in the four core specialties are also guided by the suggested core components for placements in these specialties. Where a trainee’s previous placement has generated future goals for the trainee concerned (the Points for Continued Development sheet is provided for this purpose), these can also be incorporated into the plan. The plan may be regarded as a statement of intent on the part of those involved, and also sets out what ground the trainee needs to cover in order for his or her work to be assessed. Estimates of anticipated caseloads at this stage are not meant to be binding, since no-one can predict the vagaries of referral rates, dropouts etc. They are intended to convey an upper and lower limit, below which the trainees would not have sufficient experience and above which the work would be too stressful or repetitive. The specificity of the Aims and Activities Plan is usually found to be helpful, especially when reviewing the progress of the placement. * See further information for supervisors providing a year-long integrated placement and guidelines for third year placements. 1 3.1 MID PLACEMENT VISIT Purposes: i) To review Placement Aims and Activities and identify any areas which may have been overlooked so far in the placement. This may include adjusting workload expectations or agreeing to remove or add activities to the plan where necessary and providing the quality of the placement is not substantially affected. Where there are serious shortfalls in the experience available to the trainee, a strategy needs to be agreed to deal with this, for example arranging for the trainee to spend time with another supervisor. In this situation the clinical tutor, if necessary, must decide, in discussion with the supervisor and trainee, what work must be done by the trainee for the placement to be sufficient. If this level is not reached, assessment of clinical competence may need to be deferred to a future placement. (N.B. This would not constitute a failed placement – see “Guidelines for Making the Most of Placements” (Section 2.6), item 8 “Placement Monitoring” and item 9 “Procedures for Failing a Placement”.) ii) To elicit from the supervisor views of the trainee’s progress (SelfAssessment Schedule) and identify any aspects of the trainee’s performance, in relation to the report headings, that should be focused on in the second half of the placement. These may be points for development within a generally competent performance on the part of the trainee. In some cases the supervisor may have serious concerns about a trainee’s competence and learning. In such a case it is necessary to be open about this. Where it is considered a possibility that the trainee may fail the placement then, painful as this is, it must be both said and noted. Not to do so is, in the long run, more difficult for everyone. (See ‘Guidelines on Making the Most of Placements’ for fuller discussion.) iii) To elicit from the trainee feedback regarding the placement (preview assessment forms). From time to time the supervisory relationship itself has not completely settled down, perhaps because of a mismatch of expectations that the supervisor and trainee had of one another. The presence of a third party, the placement tutor, can be extremely helpful in bringing this out and helping to establish a clearer mutual understanding between the trainee and supervisor about what they expect from each other. A fairly simple thing like the regularity of supervision times can sometimes become an important issue where expectations differ. In this situation the clinical tutor may function as a mediator. iv) To identify those features of the placement that are proving most useful to the trainee’s learning needs. v) To identify successes and problems arising from i) to iv) above and to consider mechanisms for addressing these as necessary. * See further information for supervisors providing a year-long integrated placement and guidelines for third year placements. 2 3.1 When: Mid-way through the placement. Attended by: Supervisor, Trainee and Clinical Tutor. There is also an opportunity for the trainee and supervisor to meet individually with the clinical tutor prior to the major part of the meeting. This time is used to consider issues that might be difficult to raise in a three-way meeting in order to agree how they may be addressed. The individual meetings may also be used to discuss more general issues about training. Documentation: A mid-placement report (see Section 7) is completed by the clinical tutors and copied to the supervisor, personal tutor and the trainee. END OF PLACEMENT MEETING AND COMPLETION OF END OF PLACEMENT FORMS Purposes: i) To discuss and review the placement and monitor fulfilment of the Aims and Activities plan. ii) To exchange and review end of placement reports by the trainee and supervisor. iii) To mark the transition of ending the placement. When: End of placement. Attended by: Supervisor and Trainee. The Clinical Tutor may attend on request. Documentation: The Supervisor’s Report Form is completed by the supervisor. The trainee completes the Log of Placement Activities, Trainee’s Evaluation of Placement form and the Learning and Development Record. At the end of the placement, the trainee and supervisor should meet together, having filled in these forms, to discuss their contents and sign them. Signing does not necessarily indicate agreement with what has been written – it does indicate that each has read what the other has written. An end of placement meeting with the clinical tutor may be arranged on request. * See further information for supervisors providing a year-long integrated placement and guidelines for third year placements. 3 3.1 The following completed placement forms should be sent to the Clinical Secretary at least two weeks before the relevant Board of Examiners meeting, or within two weeks of the end of placement – whichever occurs first. The trainee should retain a copy of all forms submitted. 1. Supervisor’s Report on Clinical Work The Points for Continued Development will be copied to the next supervisor. 2. Trainee’s Evaluation of Placement 3. Trainee’s Log of Placement Activities The trainee should submit copies of the relevant sections to the Clinical Secretary. 4. Learning & Development Record A copy of the back sheet (Points for Continued Development) should be submitted to the Clinical Secretary and will be copied to the next supervisor. * See further information for supervisors providing a year-long integrated placement and guidelines for third year placements. 4 3.1